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Forceful Cough

How Chinese medicine differentiates a forceful, loud cough into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Chronic Cough, Dry Cough and Wheezing pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A forceful cough with breathlessness, chest pain, blood in the sputum, or lasting more than three weeks needs medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for a forceful cough — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind. Regulates Nutritive and Defensive Qi.
L.I.-4Expels exterior Wind and releases the Exterior. Promotes the diffusing of Lung-Qi, regulates the Defensive Qi and sweating. Stops pain.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Cold Invading the Lungs View full pattern →

Clinical manifestations: Cough with thin white watery phlegm; chills stronger than fever; clear nasal discharge; an itchy throat; no sweating; worse with cold, wind and raw foods.
Tongue: Normal or slightly pale, thin white moist coat. Pulse: Floating and tight.
Treatment principle: Releases the Exterior, disperses Cold and restores the descent of Lung Qi.
Note: moxa is appropriate.

2. Wind-Heat Invading the Lungs View full pattern →

Clinical manifestations: Cough with thick yellow or green phlegm; fever stronger than chills; sore throat; rapid onset with headache; thirst.
Tongue: Red tip, thin yellow coat. Pulse: Floating and rapid.
Treatment principle: Disperses Wind-Heat, clears Lung Heat and restores the diffusing and descending functions.
Note: no moxa.

3. Lung Dryness View full pattern →

Clinical manifestations: A dry, hacking cough with scanty sticky phlegm; a dry nose, mouth and throat; cracked lips and skin; worse in dry, heated air and with excessive talking.
Tongue: Red, dry surface, thin white or yellow dry coat. Pulse: Floating and rapid, possibly fine.
Treatment principle: Gently disperses warm dryness, moistens the Lungs and stops the cough.
Note: no moxa.

4. Damp-Phlegm in the Lungs View full pattern →

Clinical manifestations: A deep, rattling cough with copious white sticky phlegm that is easy to expectorate; chest heaviness and fullness; poor appetite; abdominal bloating; fatigue.
Tongue: Pale, swollen, tooth-marked, thick white greasy coat. Pulse: Slippery, like rolling beads.
Treatment principle: Dries Dampness, transforms Phlegm, regulates Qi and strengthens the Spleen's fluid metabolism.
Note: moxa is appropriate.

5. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: A loud cough with thick yellow or green, difficult-to-expectorate phlegm; chest oppression; fever; thirst; restlessness; a flushed face.
Tongue: Red, yellow greasy coat, possibly red prickles on the front third. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, transforms Phlegm, broadens the chest and descends Qi.
Note: no moxa.

6. Liver Fire Insulting the Lungs View full pattern →

Clinical manifestations: Sudden, forceful coughing bouts triggered by anger or frustration; rib pain worse with coughing; irritability; bitter taste; face flushes during attacks; scanty, stringy phlegm.
Tongue: Red with redder sides, thin dry yellow coat. Pulse: Wiry and rapid, especially at the left middle position.
Treatment principle: Drains Liver Fire, clears Lung Heat and smooths the flow of Liver Qi.
Note: no moxa.
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